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'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

npr.org

31–40 of 55 posts

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#31
post #25
post #19

Earlier quoted context omitted.

The same reason a parent cares for their child more than a random strangers? Cultures and people matter.

Are you saying that if you were a doctor you'd care less about patients from another country?

Yes, that is what they're saying. They're projecting and assuming everybody else is just like them. Thankfully, they're not.

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#32
post #4
post #2

I suppose they could expand medical school admissions for Americans, why don’t they? It’s not for lack of talented people, the class size quotas are an archaic classist and partly racist way of thinking that have nothing to do with meritocracy, but instead are imposed to make sure that more undesirables don’t join the “elites” of society.

Some quick Googling surfaces the number of residency slots as being another limiting factor to medical school admissions. Apparently, federal funding caps the maximum number of residency slots which creates a bottleneck in the system. It's most likely the case that there are multiple different bottlenecks. It's not just 1 person in a room somewhere saying "we need to make protect the elite!" - it's more likely just a…

See this from another comment by someone else

> The AMA pushed for limited residency slots ~20 years ago, as they feared too many doctors would cut their own incomes.

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#33

Great news for Canada. Thanks we'll keep our doctors. Bad news for New York, New Jersey, California, Maryland; or more aptly labelled democrat controlled states. Probably the only republican state impacted will be florida, but they often buck trends like this. they'll keep their immigrant doctors.

The article states rural areas tend to be served by a higher proportion of immigrant doctors. The densely populated coasts will probably be fine - the higher salaries will continue to attract US-born and limited immigrant doctors.

>The article states rural areas tend to be served by a higher proportion of immigrant doctors. The densely populated coasts will probably be fine - the higher salaries will continue to attract US-born and limited immigrant doctors.

I had only anecdotal knowledge(I know Canadian doctors are all going to the big cities) and I looked it up before posting for who would be most impacted.

You are correct the article tried to suggest rural, but fact check false. It's easy to see why NPR did this.

NPR represents urban liberals; their readers won't like reading that their healthcare costs are about to go way up.

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#34
post #5
post #3

Simple, US health care continues to fall behind other Industrial Countries. But the big ask here is, what is wrong with the US educational System that forces people to avoid becoming medical professionals ? Maybe when Trump is gone, this specific situation may revert back to pre-trump. But that does not mean education will be fixed.

US health care continues to fall behind other Industrial Countries. Can you provide evidence of this? The services are top notch, and over 90% of people have health insurance. Moreover, in other single payer systems (Canada, Poland) I keep hearing about months long wait for procedures until you go private/out-of-pocket.

Having insurance in the US doesn't mean anything, as the insurance itself does not provide any health care.

In fact they actively try to provide as little care as possible. It's a negative signal, not a positive one as you seem to think.

> The services are top notch

Healthcare is a plethora of services, ranging from something as simple as a blood draw to open-heart surgery. I can tell you from experience that many diagnostic services are definitely NOT top notch, and the service of getting billed after is an absolute nightmare.

Examine your priors.

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#35

Earlier quoted context omitted.

Huh, true enough. I linked one summary. $200k urban vs $205k rural median offers to new doctors overall. But, in surgical practices, that flips well in favor of urban offers. But, that's just for new MDs. Career numbers skew even more to rural doctors https://resources.nejmcareercenter.org/article/demystifying-...

I spoke to a doctor at a bar a couple years back and he was telling me apparently out in North Dakota you can get a $400k salary as a family doctor.

Yes, Montana too.

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#37
post #19
post #13

Earlier quoted context omitted.

> I don’t want a doctor who has another country they call home. I want a doctor who feels some blood and soil attachment to their patients. But like... why? Why does that matter at all?

The same reason a parent cares for their child more than a random strangers? Cultures and people matter.

I think you fundamentally misunderstood any aspect of society, civility and community building if you adhere to such ideas. The issue at hand is bad governance and resource management, not that “immigrants should be kept out”.

Immigration is needed at different parts of a country’s economic timeline, and the levels of immigration needed can vary depending on your needs to balance labor supply and demand. This isn’t about racism, or cultural differences. This is about good governance.

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#38
post #3

Simple, US health care continues to fall behind other Industrial Countries. But the big ask here is, what is wrong with the US educational System that forces people to avoid becoming medical professionals ? Maybe when Trump is gone, this specific situation may revert back to pre-trump. But that does not mean education will be fixed.

WTF are you on about? There's a cap on the number of funded residencies (the federal government pays those salaries). Nothing to do with education. Everything to do with the AMA begging Congress to cap those positions ~20 years ago to protect their incomes.

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#39
post #2

I suppose they could expand medical school admissions for Americans, why don’t they? It’s not for lack of talented people, the class size quotas are an archaic classist and partly racist way of thinking that have nothing to do with meritocracy, but instead are imposed to make sure that more undesirables don’t join the “elites” of society.

The AMA pushed for limited residency slots ~20 years ago, as they feared too many doctors would cut their own incomes. For some reason, residencies are paid by the federal government. Not sure of the history there - I find it hard to believe a resident doctor is a net-loss for the hospital system. Either way, I can't find any legal cap on number of residents - only a cap on funded slots (ie, a hospital could hire mor…

The residency system itself is a relic and represents a sort of trapped labor system.

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#40
post #5
post #3

Simple, US health care continues to fall behind other Industrial Countries. But the big ask here is, what is wrong with the US educational System that forces people to avoid becoming medical professionals ? Maybe when Trump is gone, this specific situation may revert back to pre-trump. But that does not mean education will be fixed.

US health care continues to fall behind other Industrial Countries. Can you provide evidence of this? The services are top notch, and over 90% of people have health insurance. Moreover, in other single payer systems (Canada, Poland) I keep hearing about months long wait for procedures until you go private/out-of-pocket.

New International Study: U.S. Health System Fails Many Americans; Ranks Lowest on Health Equity, Access, and Outcomes https://www.commonwealthfund.org/press-release/2024/new-inte...
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